Provider 1447736582
Total Paid
$14.5M
$14,497,635
Total Claims
192K
Beneficiaries
94K
2.1 claims/patient
Avg Cost/Claim
$75
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 27% of total spending.
$3.9M
33K claims
$118.18
$120.85
Prefabricated stainless steel crown, primary tooth
$3.9M
33K claims · 27.2%
$2.8M
10K claims
$275.06
$107.14
Deep sedation/general anesthesia, each additional 15 min
$2.8M
10K claims · 19.3%
Therapeutic pulpotomy
$1.8M
19K claims · 12.8%
$1.0M
18K claims
$56.43
$57.39
Extraction, erupted tooth or exposed root
$1.0M
18K claims · 7.2%
$840K
6,952 claims
$120.76
$90.28
Deep sedation/general anesthesia, first 15 minutes
$840K
6,952 claims · 5.8%
$625K
9,125 claims · 4.3%
$616K
4,012 claims · 4.3%
$453K
7,202 claims
$62.94
$32.07
Comprehensive oral evaluation, new or established patient
$453K
7,202 claims · 3.1%
$447K
6,811 claims
$65.66
$66.00
Amalgam, two surfaces, primary or permanent
$447K
6,811 claims · 3.1%
$368K
4,823 claims
$76.39
$66.63
Resin-based composite filling, one surface, anterior
$368K
4,823 claims · 2.5%
$269K
5,030 claims
$53.46
$52.77
Amalgam, one surface, primary or permanent
$269K
5,030 claims · 1.9%
$188K
29K claims
$6.50
$7.33
Intraoral, periapical radiographic image, first film
$188K
29K claims · 1.3%
$176K
11K claims · 1.2%
$130K
5,231 claims · 0.9%
Sealant, per tooth
$125K
4,245 claims · 0.9%
$92K
7,815 claims
$11.80
$15.81
Bitewings, two radiographic images
$92K
7,815 claims · 0.6%
$83K
1,550 claims
$53.44
$54.60
Resin-based composite, one surface, posterior
$83K
1,550 claims · 0.6%
$77K
1,158 claims
$66.35
$71.00
Resin-based composite, two surfaces, posterior
$77K
1,158 claims · 0.5%
$76K
320 claims · 0.5%
$67K
852 claims
$78.62
$73.58
Resin-based composite filling, two surfaces, anterior
$67K
852 claims · 0.5%
$65K
271 claims · 0.4%
$37K
449 claims · 0.3%
Amalgam filling, three surfaces
$36K
467 claims · 0.2%
Prophylaxis, adult
$31K
1,274 claims · 0.2%
$14K
240 claims
$57.81
$57.30
Oral evaluation for patient under 3 years, counseling
$14K
240 claims · 0.1%
$13K
1,285 claims
$10.09
$40.52
Nutritional counseling for control of dental disease
$13K
1,285 claims · 0.1%
$11K
748 claims
$14.05
$18.12
Topical application of fluoride varnish
$11K
748 claims · 0.1%
$6K
569 claims
$11.11
$14.36
Topical application of fluoride, excluding varnish
$6K
569 claims · 0.0%
$4K
1,333 claims · 0.0%
$3K
37 claims · 0.0%